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15TH FINANCE COMMISSION HOLDS MEETING WITH WORLD BANK

Focus: GS-III Indian Economy

Why in news?

The 15th Finance commission held a detailed meeting with representatives of the World Bank, Niti Aayog and member of the Commission’s High-level group (HLG) on the health sector.

In context of the pandemic, a billion-dollar loan has been given by World Bank to the Government of India.

Highlights of what was said about India’s Health Sector

  • Finance Commission may like to look at health in three different ways: grants to enhance per capita spending, block grant for capacity building and a performance incentive for certain health outcomes.
  • More than 60% of health demand in India is supplied by private sector.
  • Leveraging private clinics along with DBT may be used as tools to increase engagement with private sector.
  • In health sector, institutions like district hospitals, primary health centres, private providers, municipalities, social sector system may be leveraged carefully.
  • World Bank could play a role in designing and implementation of such programs while working closely with such institutions.

Way Forward: A presentation made by World Bank Highlighted that:

  1. There is scope for service delivery reforms by using innovation, leveraging technology, institutional strengthening, coordination and empowering of States.
  2. The adverse economic impact is likely to be proportionally larger than the direct impact of the coronavirus on morbidity and mortality.
  3. Quality of care has emerged as a key issue in India’s health system.
  4. There is also a need for renewed focus on equity and need.
  5. Greater attention to resource allocation is required within States.
  6. Service delivery should rely on a robust public/private mix.
  7. Government of India can be an enabler of ‘open source’ approach to promote service delivery reforms.
  8. Service delivery innovations need to be encouraged like introducing technology solutions, primary health care centers in urban areas may be run by contracted private providers, public-private partnerships may be encouraged in areas of digital technology, data science, bottom of pyramid models; and multi-sector actions and community mobilization.
  9. Service delivery innovations need to be encouraged like introducing technology solutions, primary health care centers in urban areas may be run by contracted private providers, public-private partnerships may be encouraged in areas of digital technology, data science, bottom of pyramid models; and multi-sector actions and community mobilization.
  10. Strengthen national and state institutions to effectively prepare for pandemics (NCDC) and develop ICMR as a global center for excellence in medical research.

Click Here to read more about the Finance Commission and the XV-FC

Click Here to read more about the World Bank and the WB Group

February 2023
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